905.01-E(1) - Community Use of School District Buildings & Sites & Equipment - Application Form

The undersigned entity makes an application for the use of the school district facility or equipment as designated below. The entity will provide police protection at its own expense, if necessary, to maintain order and to properly protect the building, site, or equipment.

Please refer to Policy 905.01 to determine the proper use of school facilities and equipment. The entity is responsible for complying with the law, board policy and the administrative regulations.

The entity must provide an Indemnity and Liability Insurance Agreement, Policy 905.01-E(2), prior to the use of school district buildings, sites, or equipment

 

Building/Site/Equipment ___________________________________________                 Date _________________________

 

Purpose _________________________________________________________                Hours ________________________

 

Rental Fees 

Multi-Purpose Room (MPR) $35

Main Gym $45

Main Gym with Stage $70

Lunch Room $35

Lunch Room with Kitchen $70

Concession Stand $35

Wrestling Room $35

Gym Foyer $35

Junior High Commons $35

Outdoor Athletic Fields $50/field

Classrooms & Computer Lab $50/hr., 2 hr. minimum

 

Service Fees

Supervision Fee                                                                                    $20 per hour

            Custodial Fee                                                                                        $15 per hour

 

Total Fee $  ______________

 

Name of entity making application: ___________________________________________________________________

 

Name of person making application: __________________________________________________________________

 

Address: _______________________________________________________________            Phone #: _____________________

 

 

__________________________________________________                 __________________________________________

(Signature of Applicant)                                                                        (Date)

 

Please Note: In addition to paying the above fees, regardless of 501(c)(3) status, each entity must make arrangements, at their expense, with the school district to have adequate custodial/supervisory for incidental services that may occur throughout the rental agreement period. Buildings will not be available unless a contract is signed by the entity and the school district well in advance of scheduled usage.  The payment for this service may be arranged between the entity and the individual.

 

 

I.C. Iowa Code              Description
Iowa Code § 123.46      Consumption/Intoxication in Public
Iowa Code § 276           Community Education
Iowa Code § 278.1        Power of Electors
Iowa Code § 279.8        Directors - General Rules - Bonds of Employees
Iowa Code § 297           School Houses/Sites
Iowa Code § 8D            ICN

Cross References  705.04  Expenditures for a Public Purpose
                                      
705.04-R(1)  Expenditures for a Public Purpose - Use of Public Funds Regulation
                                       905.02  Nicotine/Tobacco-Free Environment

Approved: 10/21/2021, 5/20/2026
Reviewed: 4/22/2026
Revised: 4/22/2026